| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $858.08 | $1,118.52 | $1,869.61 | |
United
| Facility | $450.00 | $450.00 | $450.00 |
Epidrm Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $858.08 | $1,118.52 | $1,869.61 | |
United
| Facility | $450.00 | $450.00 | $450.00 |